DIMITRI DE KOUCHKOVSKY MD-PHD
NPI 1851977292
Dermatology in Oceanside, CA
About Dimitri De Kouchkovsky Md-phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIMITRI DE KOUCHKOVSKY MD-PHD (NPI 1851977292) is an individual dermatology provider in Oceanside, California, licensed in California (A181607) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dimitri De Kouchkovsky Md-phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Dimitri De Kouchkovsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oceanside, CA 92056
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dimitri De Kouchkovsky's NPI number?
The NPI number for Dimitri De Kouchkovsky is 1851977292. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Dimitri De Kouchkovsky located?
Dimitri De Kouchkovsky practices at 3613 Vista Way, Oceanside, CA 92056. The listed phone number is (760) 758-5340.
What is Dimitri De Kouchkovsky's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dimitri De Kouchkovsky enrolled in Medicare?
Yes. Dimitri De Kouchkovsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Dimitri De Kouchkovsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dimitri De Kouchkovsky reassigns Medicare benefits to Dermatologist Medical Group Of North County, Inc (Oceanside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dimitri De Kouchkovsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dimitri De Kouchkovsky was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dimitri De Kouchkovsky, MD-PHD · NPI 1851977292
Dermatology physician in Oceanside, California. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1851977292 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A181607 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3613 VISTA WAY, Oceanside, CA 92056-4522
- **Phone:** (760) 758-5340
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dermatologist Medical Group Of North County, Inc (NPI 1538191077, Oceanside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** January 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1851977292) · Data from the CMS NPPES public registry.